The medical coder is responsible for applying accurate ICD-10, CPT, and HCPCS codes to medical records while ensuring compliance with payer guidelines. They also support billing accuracy, conduct chart reviews, and provide guidance to the billing team.
Salary: PHP 70,000- PHP 100,000/ month
Job Description:
Apply accurate ICD-10, CPT, and HCPCS codes based on documentation and services rendered
Ensure proper code sequencing, modifiers, and compliance with payer and regulatory guidelines
Review and correct coding-related errors, denials, or rejected claims
Complete appropriate documentation or system entry regarding claims.
Abstract additional data elements during the Chart Review process when coding.
Review patient medical records and clinical documentation
Identify incomplete or missing documentation and coordinate provider queries
Apply accurate ICD-10, CPT, and HCPCS codes based on documentation and services
Stay updated with coding rules, payer policies, and healthcare regulations
Support clean claim submission and billing accuracy
Coordinate with Billing, AR, and Authorization teams
Maintain productivity and accuracy standards
Support audit and compliance activities
Participate in internal and client quality audits/reviews
Train, coach, and provide guidance to billers to ensure accurate coding and billing processes
Remains current on medical coding and billing guidelines and auditing protocols
Follow team and/or client's proper procedures, policies, and methodologies as instructed
Minimum Qualifications:
Ability to work with and maintain confidential information
Graduate of Medical allied courses; Nurses, Physical Therapist, Medical Technologist. Preferred but not required.
Consultancy basis minimum of 6 months consultancy contract (subject for renewal)
With 1- 3 years' experience in Medical Coding
Preferably with Gastroenterology or Same day Surgery exposure
With active coding license (e.g., CPC)
Demonstrate flexibility in handling different specialties and client assignments
Understanding of ICD-9 or ICD-10 Coding
Team player with the ability and willingness to assist, coach, and train billers on coding-specific requirements
Able to provide and share coding knowledge with team members as needed
Data entry skills (minimum 50-60 accurate keystrokes per minute)
Requires strong accuracy, attentiveness to detail and time management skills
Can work from home with reliable internet and backup connection
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